NPI | 1326724352 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9117567) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA62898) |
Enumeration Date | 2023-06-26 |
Last Update Date | 2023-07-31 |