NPI | 1336158328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA18304) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA18304) |
363AS0400X Physician Assistant, Surgical (Licence: CA PA18304) | |
Enumeration Date | 2006-08-07 |
Last Update Date | 2023-03-07 |