| NPI | 1518931476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA15253) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AZ 3147) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2023-01-13 |