| NPI | 1538394713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 53318) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA052907) |
| 363A00000X Physician Assistant (Licence: PA OA003207) | |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2017-01-24 |