| NPI | 1457901134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 58426) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10002790A) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2023-04-11 |