| NPI | 1548429699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA17686) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 1063898) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2010-10-13 |