NPI | 1821335654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 1959) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 081121) |
Enumeration Date | 2013-01-14 |
Last Update Date | 2021-06-14 |