| NPI | 1689003956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 51877) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 5556) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2024-04-15 |