NPI | 1861702243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 0797) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA4104) |
Enumeration Date | 2010-10-19 |
Last Update Date | 2020-08-21 |