| NPI | 1306168943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA20786) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 20786) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2018-10-08 |