| NPI | 1134634330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA59770) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.006427) |
| Enumeration Date | 2017-12-10 |
| Last Update Date | 2022-04-19 |