| NPI | 1144738170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: HI AMD-1038-0) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 61211) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2023-11-06 |