| NPI | 1174760961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 56906) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: CA 56906) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2025-10-04 |