| NPI | 1831683762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 55675) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2024-09-18 |