| NPI | 1932285327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA14038) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 470406) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2016-08-02 |