| NPI | 1477532034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA16472) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP13760) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2014-11-26 |