| NPI | 1659914323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: CA 60493) |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2023-12-27 |