| NPI | 1508174046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA13682) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 8106) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2024-06-04 |