| NPI | 1518534916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 66288) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9114599) |
| Enumeration Date | 2021-06-05 |
| Last Update Date | 2025-11-11 |