| NPI | 1972827301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA20694) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA PA20964) |
| Enumeration Date | 2010-03-14 |
| Last Update Date | 2023-03-07 |