NPI | 1891085858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C0002556) |
Additional Taxonomies | 282N00000X General Acute Care Hospital |
Enumeration Date | 2011-04-12 |
Last Update Date | 2011-04-12 |