| NPI | 1578263760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA62228) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA PA62228) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-20 |