NPI | 1821308347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 4734) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 7629170001) |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 7209350001) | |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 7045160001) | |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 7046960001) | |
208000000X Pediatrics (Licence: AZ 4734) | |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 7047150001) | |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 7034950001) | |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 7057360001) | |
Enumeration Date | 2010-10-18 |
Last Update Date | 2024-04-27 |