| NPI | 1144408089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA22248) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110002712) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2013-07-30 |