NPI | 1881888014 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10420) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9104194) |
Enumeration Date | 2007-08-30 |
Last Update Date | 2020-10-09 |