| NPI | 1013169457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.003242) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO PA.0005549) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2024-01-09 |