NPI | 1548429699 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA17686) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 1063898) |
Enumeration Date | 2008-06-04 |
Last Update Date | 2010-10-13 |