NPI | 1902463862 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 60987) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61126886) |
Enumeration Date | 2019-05-24 |
Last Update Date | 2022-11-22 |