| NPI | 1659702611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 23291) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-04622) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2024-10-27 |