| NPI | 1295370112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA57820) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 57820) |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2022-03-02 |