| NPI | 1043543473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA21307) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 1089187) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2026-06-30 |