| NPI | 1184213340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 59801) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA 59801) |
| 2086S0129X Surgery, Vascular Surgery (Licence: CA 59801) | |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2023-07-19 |