Although 490 is a good score for a category-based draw, NOC 13112 - Medical administrative assistants is not part of the healthcare-based draws. You can check that here:13112. score 490
This NOC is not in scope for the healthcare draws.13112. score 490
CEC assuming you have at least a year of Canadian work experience. So you need a score above 500. Last draw was 521.thn which category it falls under
You would have to aim for a FSW or CEC draw, but 490 would be low for those categories. PNP is not an option as your work permit is expiring in 2 months.thn which category it falls under
So if spouse is PR or citizen then should have started the process a long time ago. Start ASAP.how about spousal sponsorship . got married last year