| NPI | 1972548535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA21695) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA10004346) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2025-07-17 |