NPI | 1457901134 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 58426) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10002790A) |
Enumeration Date | 2019-09-16 |
Last Update Date | 2025-03-14 |