NPI | 1851643670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C04829) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-04330) |
Enumeration Date | 2012-10-03 |
Last Update Date | 2016-08-12 |