| NPI | 1366874703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 55525) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 016818) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2023-12-13 |