| NPI | 1659749455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 54018) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2017-12-22 |