| NPI | 1326340357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA57898) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA4031) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2025-04-21 |