| NPI | 1770117335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA61481) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.007534) |
| Enumeration Date | 2020-02-23 |
| Last Update Date | 2024-03-14 |