NPI | 1225779994 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA61801) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2022-04-05 |
Last Update Date | 2022-12-13 |