NPI | 1528217528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 12538) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA12538) |
Enumeration Date | 2008-09-15 |
Last Update Date | 2018-05-15 |