| NPI | 1487236279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 66893) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-12816) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2026-04-11 |