| NPI | 1407330582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4263) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA56026) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2023-05-15 |