NPI | 1811130198 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 4012) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA17874) |
Enumeration Date | 2009-04-15 |
Last Update Date | 2023-02-23 |