NPI | 1801945829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OR PA221152) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA 23048) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2024-09-16 |