NPI | 1740477207 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-01813) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA19382) |
Enumeration Date | 2007-09-28 |
Last Update Date | 2019-07-08 |