| NPI | 1982255071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 57801) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA 57801) |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2023-08-24 |