| NPI | 1902181381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA21805) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA1435) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2022-10-12 |