NPI | 1861279374 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: VA 0110009577) |
Enumeration Date | 2023-09-11 |
Last Update Date | 2024-07-24 |