| NPI | 1285700856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA PA11694) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 11694) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2023-03-07 |