NPI | 1447760103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 55024) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 55024) |
Enumeration Date | 2017-10-09 |
Last Update Date | 2018-11-05 |