| NPI | 1407159429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 56754) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PA721) |
| 363A00000X Physician Assistant (Licence: CO PA3769) | |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2023-11-02 |