NPI | 1215566625 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA59304) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 59304) |
363A00000X Physician Assistant | |
Enumeration Date | 2020-04-07 |
Last Update Date | 2022-04-18 |