| NPI | 1306356118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA55026) |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2020-02-26 |