| NPI | 1326334970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 713530) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2016-09-02 |