| NPI | 1598700759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA16144) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 7080) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-12-03 |