NPI | 1902259047 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110005424) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110-005424) |
Enumeration Date | 2016-07-13 |
Last Update Date | 2021-09-21 |