| NPI | 1508419458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA57310) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA PA57310) |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2025-08-04 |