| NPI | 1376853879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA21291) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA12836) |
| 363A00000X Physician Assistant (Licence: AZ 7436) | |
| 363A00000X Physician Assistant (Licence: NV 2247) | |
| 363A00000X Physician Assistant (Licence: FL PA9116057) | |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2023-09-23 |