| NPI | 1578965455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 51941) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 51941) |
| 207R00000X Internal Medicine (Licence: CA 51941) | |
| 363AM0700X Physician Assistant, Medical (Licence: CA 51941) | |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2025-02-27 |