| NPI | 1598874653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA 17524) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA17524) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-03-07 |