| NPI | 1649605684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA187058) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: OR PA187058) |
| 363A00000X Physician Assistant (Licence: OR PA187058) | |
| 363AM0700X Physician Assistant, Medical (Licence: IL 085.004709) | |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2022-11-10 |