| NPI | 1528213840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 7409) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA1244) |
| 363A00000X Physician Assistant (Licence: CA 57878) | |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2023-05-18 |