| NPI | 1891997227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA13248) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT2068) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2015-07-08 |