| NPI | 1366883613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA52634) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA 60361816) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2020-01-06 |