| NPI | 1558952515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA64173) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 86073086) |
| 363AS0400X Physician Assistant, Surgical (Licence: CA PA64173) | |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2024-03-30 |