| NPI | 1487122982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 59715) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ID 1663) |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2022-02-25 |