| NPI | 1023360294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9110129) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085004462) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2024-12-16 |