NPI | 1861444093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 1698) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601002851) |
363A00000X Physician Assistant (Licence: IA 082929) | |
Enumeration Date | 2006-05-16 |
Last Update Date | 2018-03-17 |