| NPI | 1528253648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA54016) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 2468) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2016-12-20 |