NPI | 1952141426 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 5997) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2024-05-30 |
Last Update Date | 2024-09-24 |