| NPI | 1184018137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA53943) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 4426-023) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2023-07-31 |