NPI | 1073973202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C06366) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA53250) |
Enumeration Date | 2016-03-01 |
Last Update Date | 2019-03-21 |