NPI | 1548902331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 61321) |
Enumeration Date | 2022-04-12 |
Last Update Date | 2022-11-09 |