| NPI | 1265194005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA66005) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC15332) |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2025-03-25 |