NPI | 1033624705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 55185) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 55185) |
Enumeration Date | 2017-12-04 |
Last Update Date | 2019-04-12 |