| NPI | 1477182053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: CA 62720) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-04-05 |
| Last Update Date | 2023-10-26 |