| NPI | 1851693451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA51563) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AR PA428) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2023-01-13 |