| NPI | 1811130370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 21371) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA157000) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2024-06-03 |