| NPI | 1376970863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA23294) |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: CA 22961) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2014-05-22 |