NPI | 1922033364 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 000839) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 000839) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2020-06-09 |