NPI | 1861594376 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110002166) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-00268) |
Enumeration Date | 2006-09-04 |
Last Update Date | 2017-02-02 |