| NPI | 1699134098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 53152) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: CA 101049) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2019-04-16 |