| NPI | 1689833675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA.19592) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA 19592) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2015-10-28 |