NPI | 1669725271 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA22608) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA PA22608) |
Enumeration Date | 2012-10-19 |
Last Update Date | 2019-10-22 |