| NPI | 1467078584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 58177) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA58177) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2023-11-08 |