| NPI | 1699013318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 56872) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C04960) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2025-02-25 |