| NPI | 1407225279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 58456) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2020-10-07 |