NPI | 1922406297 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TN 3055) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9108246) |
Enumeration Date | 2014-12-18 |
Last Update Date | 2017-05-12 |