NPI | 1861689390 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 53416) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2007028606) |
Enumeration Date | 2007-09-28 |
Last Update Date | 2017-02-07 |