NPI | 1083953475 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9117669) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA64943) |
Enumeration Date | 2013-02-05 |
Last Update Date | 2025-01-27 |