NPI | 1215569926 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 55587) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085008291) |
Enumeration Date | 2020-02-11 |
Last Update Date | 2022-05-05 |