| NPI | 1801088372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA58178) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH 50-001339) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2020-07-24 |