NPI | 1063737252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA157035) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA20827) |
363AM0700X Physician Assistant, Medical | |
Enumeration Date | 2010-03-31 |
Last Update Date | 2020-01-20 |