| NPI | 1063472819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 12869) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA PA12869) |
| 364SX0200X Clinical Nurse Specialist, Oncology (Licence: CA PA12869) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-11-18 |