| NPI | 1326749938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA64373) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2025-02-18 |