| NPI | 1639145386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA pa 14350) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2023-05-23 |