NPI | 1871621185 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NH 0987) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MA 2011) |
363AS0400X Physician Assistant, Surgical (Licence: MA 2011) | |
Enumeration Date | 2007-02-28 |
Last Update Date | 2014-05-09 |