NPI | 1477833465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA 20798) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: CA PA20798) |
Enumeration Date | 2011-08-22 |
Last Update Date | 2014-02-08 |