NPI | 1285759787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60095605) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA18515) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2018-06-07 |