| NPI | 1265093926 |
|---|---|
| Former Name | DIANA BOKTOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA56936) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2025-07-29 |