NPI | 1992378608 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.2083) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2021-07-20 |
Last Update Date | 2024-09-04 |