NPI | 1922327253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA 20857) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 20857) |
Enumeration Date | 2010-05-26 |
Last Update Date | 2022-01-03 |