NPI | 1992177182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 56966) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00381400) |
Enumeration Date | 2015-10-27 |
Last Update Date | 2020-02-12 |