| NPI | 1598349508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA63920) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0006743) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2024-06-20 |