| NPI | 1831844968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 60381) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA61171019) |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-02-17 |