NPI | 1952086746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 12881) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA064770) |
Enumeration Date | 2023-06-19 |
Last Update Date | 2025-04-15 |