| NPI | 1265950471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA67537) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IA 088491) |
| 363AM0700X Physician Assistant, Medical (Licence: WA PA60971610) | |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2026-05-26 |