NPI | 1932677549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL 1448) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10002622A) |
363AM0700X Physician Assistant, Medical (Licence: IN 10002622A) | |
Enumeration Date | 2018-11-13 |
Last Update Date | 2019-08-28 |