NPI | 1336398304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA19925) |
Enumeration Date | 2008-09-15 |
Last Update Date | 2023-05-10 |