| NPI | 1801145321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 52974) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2012025737) |
| 363A00000X Physician Assistant (Licence: CA PA52974) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CA 52974) | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2024-09-17 |