| NPI | 1689778227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA15213) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP10915) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2016-05-23 |