| NPI | 1689784530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA17714) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA PA 17714) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-10-28 |