NPI | 1467497719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA14109) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA PA14109) |
Enumeration Date | 2006-06-19 |
Last Update Date | 2021-06-28 |