NPI | 1831126044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 5462) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IN 10000488A) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2013-08-26 |