| NPI | 1215442207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 1200079) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC17606) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2023-02-02 |