NPI | 1942427513 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 6774) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: RI PA00548) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2014-03-04 |