| NPI | 1962633180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA20418) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA PA20418) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2023-03-07 |