NPI | 1942825773 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: HI AMD-1285) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 58406) |
Enumeration Date | 2020-06-08 |
Last Update Date | 2024-03-01 |