| NPI | 1700323888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 60246) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 020585) |
| 363A00000X Physician Assistant (Licence: AZ 9234) | |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2024-01-29 |