| NPI | 1457752842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA57852) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA 9108122) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2025-06-13 |