| NPI | 1558696328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA 21036) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CT 002282) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2023-11-22 |