| NPI | 1871044826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA66889) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA PA66889) |
| 363A00000X Physician Assistant (Licence: SC PA3038) | |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2026-02-25 |