NPI | 1619544046 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 60225) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2021-06-04 |
Last Update Date | 2021-11-29 |