NPI | 1932333721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA3094) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ND PAC1029) |
Enumeration Date | 2009-05-07 |
Last Update Date | 2024-05-15 |