| NPI | 1386281434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 62158) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085007398) |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2024-06-05 |