| NPI | 1326213554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA14985) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 492432) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2024-02-12 |