| NPI | 1942044623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA PA65108) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-14844) |
| 363A00000X Physician Assistant (Licence: CA PA65108) | |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2026-04-07 |