NPI | 1770849663 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 52397) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 52387) |
Enumeration Date | 2012-04-05 |
Last Update Date | 2023-10-19 |