| NPI | 1518201474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA62737) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0004143) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2024-05-03 |