NPI | 1558747204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 56064) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110005035) |
Enumeration Date | 2015-08-05 |
Last Update Date | 2019-01-16 |