| NPI | 1770849663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 52397) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 52387) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2023-10-19 |