NPI | 1255500724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA21951) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA pa21951) |
Enumeration Date | 2008-02-28 |
Last Update Date | 2023-11-14 |