| NPI | 1669729802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA22364) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61239673) |
| 363A00000X Physician Assistant (Licence: TX PA15323) | |
| 363A00000X Physician Assistant (Licence: AZ 8889) | |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2023-02-13 |