| NPI | 1245432996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA51595) |
| Additional Taxonomies | 176B00000X Midwife (Licence: CA LM205) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2017-02-10 |