| NPI | 1285069120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 23205) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085010113) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2024-07-19 |