NPI | 1821527268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA6352) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2017-06-08 |
Last Update Date | 2022-06-15 |