NPI | 1841246691 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: GA 004645) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 004645) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2012-02-13 |