| NPI | 1881989846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA PA21610) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA21610) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2023-08-17 |