NPI | 1144314766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA15570) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TN PA1051) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2019-03-06 |