| NPI | 1669932992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 65648) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085006981) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2025-08-29 |