NPI | 1962185777 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA064993) |
Enumeration Date | 2023-08-09 |
Last Update Date | 2024-11-07 |