| NPI | 1518039536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 51580) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA AT 8069) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2022-05-26 |