NPI | 1982636502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C0001337) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R092205) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2012-04-05 |