NPI | 1861778649 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60278090) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA PA.200449) |
Enumeration Date | 2011-10-25 |
Last Update Date | 2024-08-29 |