| NPI | 1619119682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA52174) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MA PA2547) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2021-11-18 |