| NPI | 1003442120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 58331) |
| Additional Taxonomies | 103TH0004X Psychologist, Health |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2024-07-26 |