| NPI | 1689298598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085009168) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA58181) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2023-06-20 |