NPI | 1932326980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601004438) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2007-04-19 |
Last Update Date | 2023-11-09 |