| NPI | 1720528565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 54231) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: HI AMD751) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2024-03-06 |