| NPI | 1386284115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 10160) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 59412) |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2024-02-05 |