| NPI | 1053400390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA13308) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 3221) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2023-08-04 |