NPI | 1467527481 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA18728) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA 1127) |
Enumeration Date | 2006-11-22 |
Last Update Date | 2008-10-28 |