| NPI | 1922305671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA21463) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: CA PA21463) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2020-03-06 |