| NPI | 1770037277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: CA 53899) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2022-10-05 |