NPI | 1487240982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA58930) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA 58930) |
Enumeration Date | 2020-12-18 |
Last Update Date | 2023-12-14 |