NPI | 1558690560 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 60522) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA053996) |
Enumeration Date | 2009-12-22 |
Last Update Date | 2022-04-06 |