| NPI | 1699834770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA12277) |
| Additional Taxonomies | 176B00000X Midwife (Licence: CA 169) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2017-08-09 |