| NPI | 1669535258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA PA16413) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2025-04-01 |