NPI | 1558561175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 22709) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA04470) |
Enumeration Date | 2007-07-22 |
Last Update Date | 2012-11-13 |