| NPI | 1073807087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 21238) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 014309) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |