| NPI | 1487002218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 57060) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601007782) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2026-05-11 |