| NPI | 1467909564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 61356) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 020178) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2025-07-11 |