| NPI | 1285826966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 19266) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA19266) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2015-10-30 |