| NPI | 1437314960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 51374) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA AP2572) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2020-01-23 |