NPI | 1912345711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA51241) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2013-06-13 |
Last Update Date | 2019-01-18 |