| NPI | 1841447893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 19842) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: CA 21990) |
| 227900000X Respiratory Therapist, Registered (Licence: VA 0117005308) | |
| 363A00000X Physician Assistant (Licence: MA 2594) | |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2009-07-22 |