NPI | 1821242611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA 2629) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 0787) |
Enumeration Date | 2008-11-06 |
Last Update Date | 2015-07-10 |