| NPI | 1538233085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA 17174) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA AT 1215) |
| 363AS0400X Physician Assistant, Surgical (Licence: CA PA 17174) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2023-12-27 |