NPI | 1326067901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: CA PA16773) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA PA16773) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2012-08-27 |