NPI | 1114986809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA19146) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2006-03-21 |
Last Update Date | 2023-05-10 |