| NPI | 1336665975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA54793) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2021-03-03 |