| NPI | 1538564216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA52067) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10002011A) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2018-06-15 |