| NPI | 1427666239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 59548) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA061730) |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2024-02-21 |