NPI | 1346491958 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA63189) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA19972) |
Enumeration Date | 2008-10-02 |
Last Update Date | 2023-08-21 |