NPI | 1881036705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 4637) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 002426) |
363A00000X Physician Assistant (Licence: MI 5601007109) | |
Enumeration Date | 2013-07-19 |
Last Update Date | 2019-09-25 |