NPI | 1073807087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 21238) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 014309) |
Enumeration Date | 2011-06-07 |
Last Update Date | 2011-06-07 |