| NPI | 1932369469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA19746) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA PA19746) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2017-09-12 |