NPI | 1982902375 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TN PA0000001901) |
Enumeration Date | 2011-03-09 |
Last Update Date | 2011-03-09 |