NPI | 1891279154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-2309) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110-006387) |
Enumeration Date | 2018-09-21 |
Last Update Date | 2022-08-18 |