| NPI | 1255760443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 53120) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085004934) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2019-03-25 |