| NPI | 1811238777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 22953) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA910712) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2023-10-26 |