| NPI | 1184275851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 9010) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA58903) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2024-11-19 |