| NPI | 1942826698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 61059) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C5-0001408) |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2022-11-03 |