NPI | 1922737394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA200001497) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2022-06-09 |
Last Update Date | 2022-08-18 |