| NPI | 1275703662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 22450) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 010163) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2023-03-27 |