| NPI | 1801054820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA13542) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX 03735) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2018-03-30 |