| NPI | 1225196884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA12447) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 273088) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 5222) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2024-04-23 |