NPI | 1760999510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA55985) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2018-01-02 |
Last Update Date | 2023-03-13 |