| NPI | 1811536550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 66170) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9112849) |
| Enumeration Date | 2019-12-28 |
| Last Update Date | 2026-03-23 |