NPI | 1265293922 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA63570) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2024-01-19 |
Last Update Date | 2024-03-14 |