| NPI | 1659424190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA52102) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA030353) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2016-09-22 |