| NPI | 1891260568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 57588) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9119463) |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2024-12-03 |