NPI | 1609590959 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA61722) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 61722) |
Enumeration Date | 2022-09-30 |
Last Update Date | 2023-03-03 |