| NPI | 1083063598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 62098) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 62098) |
| 363A00000X Physician Assistant (Licence: MD C0006193) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2025-12-18 |