| NPI | 1215335476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 55278) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA 60513558) |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2022-12-07 |