| NPI | 1235551995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: CA PA23192) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: CA 23192) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2023-11-27 |