NPI | 1942296967 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA051011) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MA051011) |
Enumeration Date | 2005-09-26 |
Last Update Date | 2024-08-30 |