| NPI | 1194975995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA60113) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NM PA2010-0008) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2024-10-27 |