| NPI | 1265118350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: CA PA65576) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2025-07-22 |