NPI | 1932454709 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA21163) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2012-07-18 |
Last Update Date | 2024-03-14 |