| NPI | 1639327273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 085.003241) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085.003241) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2023-08-10 |