NPI | 1831530013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AL PA.1141) |
Enumeration Date | 2013-07-16 |
Last Update Date | 2016-05-04 |