NPI | 1962190439 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA 337660) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2023-04-24 |
Last Update Date | 2023-07-25 |