| NPI | 1316112980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: CA PA19667) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: CA PA 19667) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2020-04-09 |