| NPI | 1366078065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 10000) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA031753) |
| 363A00000X Physician Assistant (Licence: VA 0110-007125) | |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2023-10-31 |