NPI | 1215124854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 19356) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA19356) |
Enumeration Date | 2007-09-27 |
Last Update Date | 2024-10-15 |