| NPI | 1295159440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 51430) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9109672) |
| Enumeration Date | 2014-02-08 |
| Last Update Date | 2022-09-08 |