| NPI | 1255500724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA21951) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA pa21951) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2023-11-14 |