NPI | 1376970863 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA23294) |
Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: CA 22961) |
Enumeration Date | 2013-09-30 |
Last Update Date | 2014-05-22 |