| NPI | 1841184538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA67026) |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2025-10-16 |