NPI | 1437747821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA67008) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0007774) |
Enumeration Date | 2021-01-01 |
Last Update Date | 2025-09-30 |