NPI | 1942273594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110003645) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9106613) |
363A00000X Physician Assistant | |
Enumeration Date | 2006-02-13 |
Last Update Date | 2016-07-25 |