| NPI | 1821532292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 54061) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA 54061) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2021-04-16 |