| NPI | 1730701285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA214041) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 57800) |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2023-06-26 |