| NPI | 1730505322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA CAPA54517) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2023-09-21 |