| NPI | 1306121652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 10382) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA53850) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2021-10-27 |