NPI | 1518906494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA17128) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 14667) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2024-01-12 |