NPI | 1588939672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA11454) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 308876) |
Enumeration Date | 2012-03-21 |
Last Update Date | 2013-03-27 |