NPI | 1811650385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA60555) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2021-10-20 |
Last Update Date | 2024-06-02 |