| NPI | 1356841233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA66712) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA186625) |
| 363A00000X Physician Assistant (Licence: WA PA61404322) | |
| 363A00000X Physician Assistant (Licence: FL TPPA181) | |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2025-07-29 |