| NPI | 1235783903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 57078) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 57078) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2024-09-12 |