| NPI | 1316109614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA21309) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9108817) |
| 363AS0400X Physician Assistant, Surgical (Licence: NY 010789) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2020-01-28 |