NPI | 1134397797 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 54515) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA052524) |
Enumeration Date | 2008-02-18 |
Last Update Date | 2018-03-17 |