| NPI | 1467737338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 7444) |
| Additional Taxonomies | 246QM0706X Spec/Tech, Pathology, Medical Technologist (Licence: CA MTA 00043395) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2019-08-08 |