| NPI | 1366611774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA57066) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD 0110002719) |
| 363A00000X Physician Assistant (Licence: CA 57066) | |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2020-02-11 |