| NPI | 1689006819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA23119) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA PA23119) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2022-06-20 |