NPI | 1689009557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 53041) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-04479) |
Enumeration Date | 2013-09-10 |
Last Update Date | 2023-08-04 |