| NPI | 1376366229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA H8C9E2M2) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2025-03-13 |