| NPI | 1457045486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 64176) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TN 5812) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2024-09-07 |