NPI | 1881894814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 001926) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CT 0019267) |
Enumeration Date | 2007-07-18 |
Last Update Date | 2012-04-16 |