NPI | 1588139091 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 55882) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 55882) |
Enumeration Date | 2018-10-11 |
Last Update Date | 2024-11-08 |