| NPI | 1962250241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA64480) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 1201647) |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-11-20 |