| NPI | 1649505041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 53704) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085003572) |
| Enumeration Date | 2009-10-03 |
| Last Update Date | 2018-06-20 |