NPI | 1669535258 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA PA16413) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2025-04-01 |