| NPI | 1285277665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA59491) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 024269) |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2023-09-12 |