NPI | 1881921211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-2520) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA60109946) |
Enumeration Date | 2009-11-05 |
Last Update Date | 2025-03-18 |