| NPI | 1215569926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 55587) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085008291) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2022-05-05 |