| NPI | 1629828819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 64285) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 64285) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA 64285) | |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-04-02 |