NPI | 1831478361 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601006135) |
Enumeration Date | 2011-08-15 |
Last Update Date | 2021-02-02 |