| NPI | 1487956405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA21135) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: HI AMD 393) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2018-03-17 |