| NPI | 1558670588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 53348) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 4714) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2025-11-06 |