| NPI | 1437519931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA65505) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA5692) |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2025-12-08 |