| NPI | 1225541873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA55367) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2020-03-25 |