NPI | 1508398132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 56207) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA 56207) |
Enumeration Date | 2017-04-02 |
Last Update Date | 2024-07-09 |