| NPI | 1003459850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA64770) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61222152) |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2024-09-23 |