| NPI | 1447447628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA18694) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 9125) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2022-06-07 |