NPI | 1831527431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 53831) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 017125) |
Enumeration Date | 2013-10-17 |
Last Update Date | 2024-02-14 |