NPI | 1912528746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0006625) |
Additional Taxonomies | 208600000X Surgery (Licence: CO PA.0006625) |
Enumeration Date | 2020-05-04 |
Last Update Date | 2021-02-19 |