NPI | 1932612082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 9218) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 2860) |
Enumeration Date | 2017-11-13 |
Last Update Date | 2023-08-25 |