NPI | 1891020913 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085004302) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN PA1777) |
363A00000X Physician Assistant (Licence: TN PA1777) | |
Enumeration Date | 2009-10-07 |
Last Update Date | 2020-01-14 |