NPI | 1821743626 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 4322) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2022-02-21 |
Last Update Date | 2022-03-28 |