| NPI | 1497406391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 65792) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601011854) |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2026-03-16 |