NPI | 1407225279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 58456) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2015-09-22 |
Last Update Date | 2020-10-07 |