| NPI | 1821061680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA18255) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA PA18255) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2015-06-18 |