NPI | 1962594002 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: CA PA16847) |
Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: CA PA16847) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2024-02-09 |