| NPI | 1316567696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA59366) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2025-03-21 |