NPI | 1104085893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA19610) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP584426) |
Enumeration Date | 2008-06-06 |
Last Update Date | 2008-06-06 |