NPI | 1619403847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA54954) |
Enumeration Date | 2017-05-09 |
Last Update Date | 2022-01-03 |