| NPI | 1386144392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 55308) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 55308) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2020-06-19 |