NPI | 1881112050 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: PA MA059422) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2017-09-07 |
Last Update Date | 2018-03-17 |