| NPI | 1588605653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA18359) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA pa 18359) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2024-10-17 |