| NPI | 1558531921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 19601) |
| Enumeration Date | 2008-03-02 |
| Last Update Date | 2012-03-07 |