NPI | 1841284270 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VT 055-0030203) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VT 0550030203) |
Enumeration Date | 2005-08-31 |
Last Update Date | 2010-09-14 |