NPI | 1770740789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA19570) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA 19570) |
Enumeration Date | 2008-05-19 |
Last Update Date | 2014-07-23 |