| NPI | 1730462904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA21843) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2020-10-20 |