| NPI | 1881481000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 67237) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA 67237) |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2026-06-10 |