NPI | 1922717701 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 7833-23) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9116888) |
Enumeration Date | 2022-11-21 |
Last Update Date | 2024-07-11 |