| NPI | 1558682195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 52895) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9105475) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2024-12-31 |