NPI | 1275640054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60007012) |
Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology (Licence: CA PA16807) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2009-02-20 |