| NPI | 1548592058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-14246) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA20486) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2024-10-24 |