NPI | 1407886070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA17895) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA PA17895) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2025-08-07 |