NPI | 1245432996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA51595) |
Additional Taxonomies | 176B00000X Midwife (Licence: CA LM205) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2017-02-10 |