| NPI | 1750884391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 62527) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL PA.1331) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2024-02-28 |