NPI | 1073891016 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 21713) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 21665) |
Enumeration Date | 2011-07-25 |
Last Update Date | 2019-05-31 |