| NPI | 1326259888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 61486) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110840585) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2023-01-10 |