| NPI | 1841441805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA20450) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA20450) |
| 363A00000X Physician Assistant (Licence: IN 10001030A) | |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2023-03-31 |