NPI | 1891307997 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C07761) |
Enumeration Date | 2020-08-19 |
Last Update Date | 2024-09-24 |