NPI | 1952522310 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: DC PA030419) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: VA 0110002210) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2007-07-08 |