| NPI | 1447703731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 55946) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 8065) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2024-01-09 |