| NPI | 1285797357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-2210) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA18678) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2025-11-04 |