| NPI | 1831520030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA51383) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ID PA-2717) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2024-04-24 |