| NPI | 1376982058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 53422) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9107300) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2017-11-14 |