NPI | 1780168864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA60437) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 022622) |
Enumeration Date | 2018-09-24 |
Last Update Date | 2022-10-12 |