NPI | 1912427279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-1705) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2017-06-27 |
Last Update Date | 2023-05-23 |