| NPI | 1841941234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA65104) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OR PA211148) |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2025-03-05 |