| NPI | 1730467143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA55343) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL PA9105796) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2020-10-01 |