NPI | 1881987949 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA053609) |
Enumeration Date | 2011-05-24 |
Last Update Date | 2014-08-01 |