| NPI | 1215566625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA59304) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 207R00000X Internal Medicine (Licence: CA 59304) | |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2026-04-20 |