NPI | 1932687498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 7235) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 7235) |
Enumeration Date | 2018-08-06 |
Last Update Date | 2024-12-16 |