| NPI | 1831666338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 59202) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA2078) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2021-06-08 |