| NPI | 1083924260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA21283) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA PA21283) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2013-01-08 |