NPI | 1942387485 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 103419) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 103419) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2019-06-11 |