| NPI | 1306297072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA53671) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-06518) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2024-01-03 |