| NPI | 1437422896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 53377) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085.004244) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2016-10-10 |