NPI | 1992146633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 1740) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 002400) |
Enumeration Date | 2013-07-10 |
Last Update Date | 2018-03-17 |