NPI | 1285260745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA63355) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 9312) |
Enumeration Date | 2020-03-17 |
Last Update Date | 2024-02-08 |