NPI | 1942978390 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA61519927) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 027358) |
Enumeration Date | 2021-09-01 |
Last Update Date | 2024-05-21 |