| NPI | 1265027775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 62065) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 8658) |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2023-01-09 |