NPI | 1831686831 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 55256) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PT2018-023) |
Enumeration Date | 2018-04-16 |
Last Update Date | 2024-06-04 |