| NPI | 1730679705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 56179) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2019-06-26 |