NPI | 1891421715 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 62938) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2022-07-25 |
Last Update Date | 2024-01-22 |