NPI | 1366630519 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 57069) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0110009009) |
363A00000X Physician Assistant (Licence: VA 0110009009) | |
363AM0700X Physician Assistant, Medical (Licence: CO PA0003501) | |
363AM0700X Physician Assistant, Medical (Licence: CO PA.0003501) | |
Enumeration Date | 2007-10-11 |
Last Update Date | 2024-08-09 |