| NPI | 1790725075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA14001) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP8902) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2018-06-28 |