| NPI | 1932418738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ID PA-2088) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA21172) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2021-10-13 |