NPI | 1285277665 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA59491) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 024269) |
Enumeration Date | 2019-10-18 |
Last Update Date | 2023-09-12 |