| NPI | 1285134916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 55760) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: UT 10694820-1206) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2020-09-09 |