NPI | 1982461406 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA065163) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA006715) |
Enumeration Date | 2024-03-01 |
Last Update Date | 2024-03-03 |