| NPI | 1053824276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 60447) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0005240) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2024-05-23 |