| NPI | 1871172569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA64685) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 107073) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2024-12-12 |