NPI | 1831241413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0003048) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MD C0003048) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2007-07-08 |