NPI | 1932182292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VT 055.0030933) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VT 0550030353) |
Enumeration Date | 2005-11-21 |
Last Update Date | 2014-12-04 |