| NPI | 1710500434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2020023330) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA59697) |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2022-11-30 |