| NPI | 1912952086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 16013) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA 16013) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-09-05 |