NPI | 1871595017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA17192) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2005-06-01 |
Last Update Date | 2024-06-10 |