| NPI | 1376176164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA57854) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA PA57854) |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-03-26 |