NPI | 1366883613 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA52634) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA 60361816) |
Enumeration Date | 2013-07-16 |
Last Update Date | 2020-01-06 |