NPI | 1831852698 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA64209) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA15363) |
Enumeration Date | 2021-10-19 |
Last Update Date | 2024-08-16 |