| NPI | 1154846012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA58662) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 021219) |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2023-03-07 |