| NPI | 1528617628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 63865) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 023978) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2024-09-12 |