| NPI | 1578828604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA51811) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60282936) |
| 363A00000X Physician Assistant (Licence: FL PA9114486) | |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2024-07-03 |