NPI | 1841914967 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-02920) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 63810) |
Enumeration Date | 2022-10-03 |
Last Update Date | 2025-02-27 |