NPI | 1134804610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 62704) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA PA62704) |
Enumeration Date | 2023-06-21 |
Last Update Date | 2025-02-25 |