NPI | 1932709383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 7587) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 7587) |
Enumeration Date | 2020-10-27 |
Last Update Date | 2024-05-30 |