NPI | 1831495241 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 22650) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 014464) |
Enumeration Date | 2011-02-02 |
Last Update Date | 2014-08-13 |