NPI | 1932816642 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110009780) |
Enumeration Date | 2022-11-02 |
Last Update Date | 2024-01-15 |