| NPI | 1497906192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA22966) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 011257-1) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2017-03-24 |