| NPI | 1568013076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA67999) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 024300) |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2026-05-07 |