NPI | 1912923293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 276) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: SC 276) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2007-07-16 |