| NPI | 1497219141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA64436) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 023199) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2025-02-12 |