| NPI | 1437297165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 13156) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 271423) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2012-11-05 |