NPI | 1730960758 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA65456) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2023-10-06 |
Last Update Date | 2025-03-17 |