| NPI | 1144495441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA pa19728) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA dc26340) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |