| NPI | 1861851396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 53223) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-05-12 |