| NPI | 1942736699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA65763) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT16230) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2025-06-27 |