| NPI | 1982060836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA59056) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA1687) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2023-10-17 |