| NPI | 1326411349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 52996) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9116333) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2022-12-13 |