NPI | 1447703731 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 55946) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 8065) |
Enumeration Date | 2016-08-03 |
Last Update Date | 2024-01-09 |