| NPI | 1871506378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 18154) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: CA PA18154) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2018-08-29 |