| NPI | 1841288297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 20985) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085-002708) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2018-03-01 |