NPI | 1952693616 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA00632) |
Additional Taxonomies | 208600000X Surgery (Licence: OR PA00632) |
Enumeration Date | 2011-05-12 |
Last Update Date | 2023-12-19 |