| NPI | 1861813057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 54630) |
| Additional Taxonomies | 224Y00000X Clinical Exercise Physiologist (Licence: CA D5942315) |
| Enumeration Date | 2013-12-15 |
| Last Update Date | 2022-07-21 |