NPI | 1487695854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA13770) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 13770) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2013-05-06 |