NPI | 1316502743 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 58631) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM PA2021-0046) |
Enumeration Date | 2019-05-01 |
Last Update Date | 2024-07-23 |