NPI | 1861970592 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 58804) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 12756) |
Enumeration Date | 2018-08-03 |
Last Update Date | 2024-02-29 |