| NPI | 1043701170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA63222) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 23038) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2023-09-05 |