| NPI | 1336279785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 19110) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 001260) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2009-11-11 |