| NPI | 1821080060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 52181) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 003456) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2019-12-20 |