| NPI | 1033143607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA65438) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 0182) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2025-02-19 |