NPI | 1861581969 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0000147) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0001375) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2023-09-12 |