NPI | 1316005309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA17107) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 171070) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2023-03-07 |