| NPI | 1619457876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 60606) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA004584) |
| 363A00000X Physician Assistant (Licence: PA MA060037) | |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2024-05-28 |