NPI | 1902398167 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 7093) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 7093) |
Enumeration Date | 2018-06-04 |
Last Update Date | 2021-09-06 |