| NPI | 1679792733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 18231) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 18231) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2021-04-23 |