| NPI | 1033349808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA20413) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110006617) |
| 363A00000X Physician Assistant (Licence: WA PA60372079) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2022-03-28 |