NPI | 1770657876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA17607) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA OPA17607) |
Enumeration Date | 2006-11-20 |
Last Update Date | 2019-11-27 |