NPI | 1013129659 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 11644) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 3473) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2019-09-17 |