NPI | 1922265875 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9105073) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA AP2459) |
Enumeration Date | 2008-05-19 |
Last Update Date | 2009-08-04 |