| NPI | 1396052007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA16768) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 16768) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2012-11-19 |