| NPI | 1427321637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 22023) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA22023) |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2024-10-07 |