| NPI | 1467000802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA60973) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA PA60973) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2024-05-07 |