NPI | 1912413139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CT 4036) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2017-12-26 |
Last Update Date | 2021-11-23 |