| NPI | 1144923806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA PA66394) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA66394) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CO PA.0007937) | |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2025-09-22 |