NPI | 1215056114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 001086) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 22218) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2015-06-12 |