NPI | 1720528565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 54231) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: HI AMD751) |
Enumeration Date | 2017-02-27 |
Last Update Date | 2024-03-06 |