NPI | 1912936337 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MD C0002649) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0002649) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2010-03-01 |