| NPI | 1881222354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 61623) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085007809) |
| 207Q00000X Family Medicine (Licence: IL 085.007809) | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2022-10-17 |