| NPI | 1811948235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 65707) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 1644) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2025-10-10 |