NPI | 1245218932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA13272) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 272543) |
Enumeration Date | 2006-01-04 |
Last Update Date | 2013-09-23 |