| NPI | 1265624886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA15234) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2009-02-25 |