| NPI | 1487357885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA62422) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA PA62422) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: CA PA62422) | |
| 363AM0700X Physician Assistant, Medical (Licence: CA PA62422) | |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-07-11 |