| NPI | 1326342072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA61178) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 012291) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2022-09-29 |