NPI | 1922269307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA602) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: KY PA602) |
363AM0700X Physician Assistant, Medical (Licence: KY PA602) | |
363AS0400X Physician Assistant, Surgical (Licence: KY PA602) | |
Enumeration Date | 2008-06-19 |
Last Update Date | 2024-09-04 |