| NPI | 1134804610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 62704) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA PA62704) |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2025-02-25 |