| NPI | 1215306196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA60477) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 004407) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2024-07-18 |