| NPI | 1154406999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA19166) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085002834) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2010-03-23 |