| NPI | 1558119560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA68382) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085011506) |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2026-05-15 |