| NPI | 1285739029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA16513) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 16513) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2024-01-02 |