| NPI | 1356938617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA 59330) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 363A00000X Physician Assistant (Licence: CA 59330) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2021-04-14 |