| NPI | 1598238883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 58056) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10003894A) |
| 363A00000X Physician Assistant (Licence: CO PA.0006341) | |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2026-06-10 |