| NPI | 1700971611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 16953) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA PA16953) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2018-01-24 |