NPI | 1366584633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 54334) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 0060129-1) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2024-02-14 |