| NPI | 1598909103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 23197) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IN 10000833A) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2019-12-16 |