| NPI | 1558761924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.005044) |
| 363A00000X Physician Assistant (Licence: CA PA53686) | |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2023-05-22 |