NPI | 1952635724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA 9105153) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9105153) |
Enumeration Date | 2009-09-28 |
Last Update Date | 2025-08-12 |