NPI | 1922580638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR 979) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 3503) |
Enumeration Date | 2018-08-30 |
Last Update Date | 2021-05-24 |