| NPI | 1861220808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: CA E157538) |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2025-05-07 |