| NPI | 1427466291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 9913) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 51698) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2026-06-15 |