| NPI | 1295161834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA261200) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA23223) |
| Enumeration Date | 2013-09-14 |
| Last Update Date | 2025-02-24 |