| NPI | 1750711487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA-51254) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA PA51254) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2019-07-09 |