| NPI | 1932297595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA 18746) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA10003685) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2024-08-20 |