NPI | 1235535998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 52126) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA PA52126) |
Enumeration Date | 2014-11-07 |
Last Update Date | 2024-04-01 |