NPI | 1770090201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA PA55234) |
Enumeration Date | 2018-01-05 |
Last Update Date | 2018-06-18 |