| NPI | 1598274987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA60978) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: UT 10518372-1206) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2025-09-19 |