| NPI | 1598327967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 60642) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2022-03-02 |