NPI | 1982197752 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0001227) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2018-06-07 |
Last Update Date | 2018-07-30 |