| NPI | 1013283167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA-22096) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA-3409) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2020-07-01 |