| NPI | 1780935445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 53197) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA002925) |
| 363A00000X Physician Assistant (Licence: PA MA055752) | |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2024-05-08 |