NPI | 1205561008 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA64864) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2022-07-18 |
Last Update Date | 2024-10-10 |