| NPI | 1295181311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 53722) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA 302253) |
| Enumeration Date | 2016-05-07 |
| Last Update Date | 2023-10-18 |