NPI | 1851081624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 001013894) |
Enumeration Date | 2023-05-15 |
Last Update Date | 2024-03-03 |