| NPI | 1881997575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA PA21175) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2021-08-19 |