NPI | 1942488374 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110004437) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 103810) |
Enumeration Date | 2008-02-07 |
Last Update Date | 2014-11-18 |