| NPI | 1407159288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 7186) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA-21338) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2024-11-21 |