NPI | 1306356118 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA55026) |
Enumeration Date | 2017-10-06 |
Last Update Date | 2020-02-26 |