NPI | 1437297165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 13156) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 271423) |
Enumeration Date | 2007-02-02 |
Last Update Date | 2012-11-05 |