NPI | 1821006917 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA16164) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2009-08-07 |