| NPI | 1760473060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA01176) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA PA16258) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2020-01-24 |