NPI | 1871934018 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA056146) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA003060) |
Enumeration Date | 2013-07-16 |
Last Update Date | 2019-02-21 |