| NPI | 1689328106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA60129) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA PA60129) |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2025-08-12 |