| NPI | 1053020362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA61577) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA PA61577) |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2023-06-12 |