| NPI | 1639258395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA14818) |
| Additional Taxonomies | 364SX0200X Clinical Nurse Specialist Oncology (Licence: CA PA14818) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-12-14 |