NPI | 1255965828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA57740) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2020-02-23 |
Last Update Date | 2023-10-05 |