| NPI | 1942728217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA59693) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C06697) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2023-01-24 |