NPI | 1508036617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA 18285) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 1035691) |
363AM0700X Physician Assistant, Medical (Licence: CA PA18285) | |
Enumeration Date | 2008-03-04 |
Last Update Date | 2023-08-17 |