NPI | 1891934410 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-01717) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-01717) |
Enumeration Date | 2009-02-05 |
Last Update Date | 2018-07-09 |