| NPI | 1588107536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA59790) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2023-09-11 |