| NPI | 1437248903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 4924) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA13596) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2017-01-17 |