NPI | 1871802389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 51583) |
Enumeration Date | 2010-09-30 |
Last Update Date | 2022-07-21 |