| NPI | 1346269412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: HI AMD-791) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA17307) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2021-06-30 |