NPI | 1922393867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 2749) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WI 2749-23) |
Enumeration Date | 2011-06-17 |
Last Update Date | 2021-11-30 |