| NPI | 1093021008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA21120) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 21120) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2020-01-14 |