| NPI | 1528333465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA22813) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NV PA1324) |
| Enumeration Date | 2012-03-10 |
| Last Update Date | 2020-08-25 |