| NPI | 1932823697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 62266) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 146N00000X Emergency Medical Technician, Basic (Licence: CA E134623) | |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2026-06-29 |