| NPI | 1154750347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 60547) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9111022) |
| 363A00000X Physician Assistant (Licence: NY 017060-01) | |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2024-02-15 |