| NPI | 1598992133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 20378) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2022-11-11 |