NPI | 1215966742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA16649) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA PA16649) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2018-06-20 |