NPI | 1922305671 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA21463) |
Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: CA PA21463) |
Enumeration Date | 2011-02-15 |
Last Update Date | 2020-03-06 |