NPI | 1891997227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA13248) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT2068) |
Enumeration Date | 2007-06-05 |
Last Update Date | 2015-07-08 |