| NPI | 1497279046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 56156) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10002368A) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2019-01-02 |