NPI | 1992441604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.1985) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2022-05-06 |
Last Update Date | 2023-08-03 |