| NPI | 1285260745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA63355) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: GA 9312) |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2024-02-08 |