| NPI | 1841681632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 55559) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 003224) |
| Enumeration Date | 2015-02-15 |
| Last Update Date | 2023-01-30 |