| NPI | 1043853633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA pa58277) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA PA58277) |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2026-05-11 |