| NPI | 1982097085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 54211) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD c005679) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2024-02-09 |