| NPI | 1497470686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110009943) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA61426) |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2024-07-23 |