| NPI | 1992980221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 58657) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-01191) |
| Enumeration Date | 2008-01-06 |
| Last Update Date | 2020-12-22 |