| NPI | 1518133032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA21723) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO 2462) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2017-08-01 |