| NPI | 1811186018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA 20337) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: NC 130700) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2021-02-24 |