NPI | 1861864209 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PA-625) |
Enumeration Date | 2015-10-26 |
Last Update Date | 2021-10-28 |