| NPI | 1346524691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA22664) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA055167) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2018-03-23 |