NPI | 1992775670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: 50002049) |
Enumeration Date | 2006-01-25 |
Last Update Date | 2009-04-24 |