| NPI | 1285908673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 55087) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: CA DC 32286) |
| 171100000X Acupuncturist (Licence: CA AC 14601) | |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2017-10-26 |