NPI | 1942526223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.994) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 1832) |
Enumeration Date | 2010-04-12 |
Last Update Date | 2015-09-29 |