| NPI | 1821613746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 59098) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ TP7912) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2026-02-24 |