| NPI | 1376873406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 1097201) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 1097201) |
| 207Q00000X Family Medicine (Licence: CA 1097201) | |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2021-08-11 |