NPI | 1932163482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9102843) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9102843) |
Enumeration Date | 2006-04-13 |
Last Update Date | 2007-07-08 |