| NPI | 1568084481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 64569) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0007675) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2025-01-22 |