| NPI | 1912519299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA58371) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA PA58371) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2025-04-16 |