| NPI | 1568529048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 11124) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: CA PA11124) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2016-03-29 |