NPI | 1720785165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA62663) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2023-02-15 |
Last Update Date | 2024-05-16 |