| NPI | 1194292193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 56642) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA2132) |
| Enumeration Date | 2018-10-28 |
| Last Update Date | 2024-10-30 |