| NPI | 1437141165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 66341) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA 1274) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2025-09-11 |