NPI | 1245560515 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA 21932) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA3908) |
Enumeration Date | 2010-01-08 |
Last Update Date | 2023-03-07 |