| NPI | 1609389329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA CA55091) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA CA55091) |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2021-07-29 |