NPI | 1962754218 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0004899) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2012-10-11 |
Last Update Date | 2022-03-30 |