| NPI | 1134765738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA62637) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085007397) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2024-02-05 |