| NPI | 1366818379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 7038) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA52670) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2020-02-10 |