NPI | 1396912218 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA16867) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA PA16867) |
Enumeration Date | 2008-05-09 |
Last Update Date | 2024-08-06 |