| NPI | 1831651736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 57324) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 57324) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-10-31 |