| NPI | 1134829211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 62860) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 363AM0700X) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-07-27 |