| NPI | 1558891218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA58784) |
| 207Q00000X Family Medicine (Licence: CA PA58784) | |
| 207R00000X Internal Medicine (Licence: CA PA58784) | |
| 363A00000X Physician Assistant (Licence: CA PA58784) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2025-07-29 |