| NPI | 1730388588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 52264) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA052982) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2016-07-14 |