NPI | 1992250245 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0006199) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MD C0006199) |
Enumeration Date | 2016-08-16 |
Last Update Date | 2016-08-16 |