NPI | 1245240118 |
---|---|
Former Name | JANE KAREN PICKERING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA15925) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA PA15925) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2023-05-16 |