| NPI | 1245496843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA20929) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 010754) |
| Enumeration Date | 2008-08-03 |
| Last Update Date | 2022-02-07 |