| NPI | 1003299637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-10964) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-005520) |
| 363A00000X Physician Assistant (Licence: IL 085005520) | |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2023-02-09 |