| NPI | 1578034633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 55810) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 55810) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2023-03-21 |