| NPI | 1518136191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA13482) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC14405) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2021-05-25 |