NPI | 1932534153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-05471) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: SC PA1950) |
Enumeration Date | 2013-09-06 |
Last Update Date | 2021-05-06 |