| NPI | 1831527431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 53831) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 017125) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2024-02-14 |