| NPI | 1538594163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA23209) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2015-09-30 |