| NPI | 1245524438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 57941) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA057335) |
| Enumeration Date | 2011-06-05 |
| Last Update Date | 2020-08-20 |