| NPI | 1326316076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA21907) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: CA A69222) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2023-11-01 |