| NPI | 1346270907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA52360) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA CA3729) |
| 363L00000X Nurse Practitioner (Licence: CA CA3729) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2023-08-04 |