NPI | 1871002154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 11321) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2017-09-29 |
Last Update Date | 2023-02-27 |