| NPI | 1093721540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA16506) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 005383) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2024-12-11 |