NPI | 1891269858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C08365) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9113475) |
Enumeration Date | 2019-01-14 |
Last Update Date | 2024-10-08 |