| NPI | 1447872205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 64145) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CT 4863) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2025-03-03 |