| NPI | 1528208287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA20048) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA PA20048) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2017-07-25 |