| NPI | 1346491958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA63189) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA19972) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2023-08-21 |