| NPI | 1174805998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 67047) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CA OTA1240) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2025-10-07 |