| NPI | 1346883659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA59582) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9112657) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2022-03-07 |