NPI | 1821061680 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA18255) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA PA18255) |
Enumeration Date | 2006-02-10 |
Last Update Date | 2015-06-18 |