| NPI | 1346672250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 57546) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110-004329) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2019-12-06 |