| NPI | 1801904362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA17355) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 17355) |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2024-01-17 |