NPI | 1851889976 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MS PA00435) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TN 3541) |
Enumeration Date | 2018-04-24 |
Last Update Date | 2024-04-21 |