| NPI | 1427051713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR 169425) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA20422) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2014-12-26 |