| NPI | 1144658741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA51228) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA PA51228) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2025-10-07 |