| NPI | 1760622278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA 20979) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0003888) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2016-08-23 |