| NPI | 1891048385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 5604) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA22601) |
| Enumeration Date | 2012-10-21 |
| Last Update Date | 2024-01-08 |