| NPI | 1427454800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 9039) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 51848) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2024-03-20 |