| NPI | 1033356126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 20094) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PA855) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2022-07-05 |