NPI | 1508357112 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 0007755) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA55732) |
Enumeration Date | 2018-05-21 |
Last Update Date | 2024-10-08 |