| NPI | 1831565084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA64813) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC33701) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2024-10-17 |