NPI | 1992868012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: PA MA002822L) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical |
Enumeration Date | 2006-12-19 |
Last Update Date | 2018-11-15 |