NPI | 1821769514 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA062722) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA005750) |
Enumeration Date | 2021-09-23 |
Last Update Date | 2024-12-09 |