NPI | 1942442348 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C0004277) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-01718) |
Enumeration Date | 2009-03-31 |
Last Update Date | 2014-05-08 |