| NPI | 1700940137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA18329) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA 18329) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2021-12-15 |