| NPI | 1023205275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA19425) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2015-02-05 |