NPI | 1851729107 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 001005732) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2013-10-24 |
Last Update Date | 2016-11-18 |