NPI | 1841624566 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 5027) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00317000) |
Enumeration Date | 2013-08-29 |
Last Update Date | 2022-08-24 |