NPI | 1235654005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 55051) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2017-08-13 |
Last Update Date | 2017-12-08 |