NPI | 1891411971 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC 200001552) |
Additional Taxonomies | 163WR1000X Registered Nurse, Reproductive Endocrinology/Infertility (Licence: PA 709574) |
Enumeration Date | 2022-10-19 |
Last Update Date | 2022-10-19 |