| NPI | 1942527908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA219163) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: CA PA 20532) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2024-03-12 |