| NPI | 1609489145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA62089) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61228675) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2024-05-03 |