NPI | 1932412236 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: GA 006373) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2010-07-15 |
Last Update Date | 2013-03-08 |