NPI | 1275108037 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA63489) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2021-05-24 |
Last Update Date | 2024-09-15 |