| NPI | 1134837891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 10268) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 61880) |
| Enumeration Date | 2022-11-11 |
| Last Update Date | 2024-05-02 |