NPI | 1841848298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9114855) |
363A00000X Physician Assistant | |
Enumeration Date | 2019-08-29 |
Last Update Date | 2023-09-22 |