NPI | 1609118074 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 52586) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MA PA4672) |
Enumeration Date | 2013-03-22 |
Last Update Date | 2023-03-08 |